Please take the time to complete this form as honestly and thoroughly as possible. The information you provide will help us get to know you better, offer you appropriate support, and ensure greater care throughout the program we’ll be sharing.It was created for informational and educational purposes only and is not intended as medical advice, nor does it promote any illicit activity.We want you to know that we deeply respect your privacy. All the information you provide will be kept strictly confidential.Thank you for your time, your honesty, and your commitment to this process! When you finish it remember to book your appointment with Luis Diaz using his online calendar: https://calendario-cmr.youcanbook.me/